Individual provider Active NPI

Jonathan Munger Dickson, DMD

  • Dentist
  • Wenatchee, WA
National Provider Identifier
1629398425
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60292621 Issued in WA
Practice address
211 N Whitman Way
Wenatchee, WA 98801-2192
Phone
(509) 888-8088
NPI assigned
Jun 3, 2010
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60292621 WA Primary

Addresses

Primary practice location

211 N Whitman Way
Wenatchee, WA 98801-2192

Mailing address

211 N Whitman Way
Wenatchee, WA 98801-2192
Phone (509) 888-8088

Other practice location 1

835 E Colonial Ave Ste 103
Moses Lake, WA 98837-4617
Phone (509) 707-0707 ext. 2

Other practice location 2

533 S Mission St
Wenatchee, WA 98801-3047
Phone (509) 664-7308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60292621WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Better Wenatchee LLC Dentist Current Accepting new patients
Dickson and Neff PLLC Dentist Current Accepting new patients
The Professional Denture Center Dentist PastSince Mar 24, 2025 Accepting new patients

Locations

211 N Whitman Way
Wenatchee, WA 98801
Phone (509) 663-5722

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1629398425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N WHITMAN WAY",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012192",
            "telephone_number": "509-888-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N WHITMAN WAY",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012192",
            "telephone_number": "509-888-8088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 E Colonial Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Moses Lake",
            "state": "WA",
            "postal_code": "988374617",
            "country_code": "US",
            "telephone_number": "509-707-0707 x2",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "533 S Mission St",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988013047",
            "country_code": "US",
            "telephone_number": "509-664-7308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "JONATHAN",
        "middle_name": "MUNGER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "60292621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.